Provider Demographics
NPI:1720181985
Name:WOLRICH, MEREDITH (LCSW)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:WOLRICH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 WILSON BLVD
Mailing Address - Street 2:STE 700, PMB333
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-2490
Mailing Address - Country:US
Mailing Address - Phone:571-317-1935
Mailing Address - Fax:
Practice Address - Street 1:1550 WILSON BLVD
Practice Address - Street 2:STE 700, PMB333
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-2490
Practice Address - Country:US
Practice Address - Phone:571-317-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040105801041C0700X
NMI-084521041C0700X
SC97281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical